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1.1.1 Becker tested ability of HBM to explain mother's differential compliance -asthmatic children -111 mothers low-income population -interviews -compliance checked (in 70% of p's) by covert blood sample testing for theophylline -positive correlation found between mother's belief of susceptibility and compliance and between belief of severity and compliance -married = more likely to comply -better educated = more likely to comply |
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1.1.2 Rotter -research review of 6 pieces of research -p's who felt they had control over situation were more likely to show behaviours allowing them to cope -internal locus = take responsibility of health -locus of control affects all behaviour including health |
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1.1.3 Bandura & Adams -how successful a person thinks they will be at adopting a health behaviour -10 American snake-phobic p's (9 females & 1 male) -fear of snakes measured -desensitisation treatment -taught relaxation techniques whilst around snakes -desensitisation enhanced self-efficacy levels |
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1.2.1 Cowpe -report on media campaign -fire statistics & consumer surveys gathered information -less effective in overlap areas - desensitised so less impact -advertising reduced deaths, injuries & damage caused by chip pan fires -informative nature is effective |
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1.2.2 Dannenberg -1990 law passed in Howard County, Maryland USA -under 16s had to wear helmet when riding bicycle -questionnaire sent to children aged 9-15 -3494 children responded -large increase in children wearing helmets in Howard County compared to 2 neighbouring counties with no law passed -passing law more effective than education alone |
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1.2.3 Janis & Fechbach -lab experiment -freshman year at Connecticut high school average age 15 -split into 4 groups -15 min lecture on: 1. tooth decay strong 2. tooth decay moderate 3. tooth decay minimal 4. human eye control -questionnaire immediately after lecture -follow-up questionnaire week later -level of fear must be right for audience -fear arousal minimal 36% change in health care -fear arousal strong 8% change in health care -less fear more effective |
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Reasons for Non-Adherence |
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1.3.1 Bulpitt -hypertensive patients reported side effects of drugs -8% of men stopped taking drugs because of sexual problems -people cannot feel benefits of adherence |
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Measures of Non-Adherence |
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1.3.2 Becker -measured adherence through: -self-report -blood test for theophylline |
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1.3.3 Watt -funhaler -32 Australian children (10 boys, 22 girls) -diagnosed with asthma -repeated measures, used normal inhaler for 2 weeks and funhaler for 2 weeks -questionnaire -funhaler = spinner and whistle activated when used correctly -38% more parents medicated child with funhaler -60% more children took all 4 cycles per delivery when using funhaler |
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2.1.1 Johansson -Swedish saw mill -24 workers -14 classified high stress group - 'finishers' -10 workers classified low stress - control -urine samples -self-report on mood and caffeine/nicotine consumption -baseline readings taken at home -control group had peak of 1.5 times baseline -finishers had adrenaline levels twice as high as baseline which increased throughout the day -levels of absenteeism higher with finishers |
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2.1.2 Kanner -complete Hassles & Uplift and Berkman Life Events Scale -longitudinal, repeated measures design -100 people California mostly white -completed scales and assessed by Hopskins Symptom Checklist and Bradburn Morale Scale -Hassles are powerful predictor of psychological symptoms of stress |
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2.1.3 Geer & Maisel -60 psychology undergrads New York Uni -shown pictures of dead car crash victims -stress levels measured using Galvanic Skin Response (GSR) -3 groups (1-control & predictability, 2 - no control & predictability and 3 - no control & no predictability) -group 1 lowest stress response -group 2 highest stress response |
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2.2.1 Geer & Maisel Galvanic skin response to measure stress -scientific & reliable -but can cause stress, unethical and difficult/expensive |
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2.2.2 Holmes and Rahe devised Social Readjustment Scale -43 life events -100 p's rated -the higher the number, the more stressful the event was -e.g. 'death of spouse', 'change in schools' and 'pregnancy' -those who scored over 300 LCUs had an 80% chance of becoming ill through stress |
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2.2.3 Johansson Swedish saw mill -tested stress physiologically (urine samples) and self-report |
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